Carolyn J Jimmerson, - Medicare Nurse Practitioner in Flowood, MS

Carolyn J Jimmerson, is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. Her current practice location is 102 Riverview Dr Ste A, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 981-1610.

Carolyn J Jimmerson is licensed to practice in Mississippi (license number 905623) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558018598.

Contact Information

Carolyn J Jimmerson,
102 Riverview Dr Ste A,
Flowood, MS 39232-8908
(601) 981-1610
(601) 366-2887



Provider's Profile

Full NameCarolyn J Jimmerson
GenderFemale
SpecialityNurse Practitioner - Family
Location102 Riverview Dr Ste A, Flowood, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558018598
  • Provider Enumeration Date: 03/09/2022
  • Last Update Date: 12/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618349895
  • Enrollment ID: I20230216001767

Medical Identifiers

Medical identifiers for Carolyn J Jimmerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558018598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice R868951 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 905623 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn J Jimmerson allows following entities to bill medicare on her behalf.
Entity NameCentral Nephrology Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942576277
PECOS PAC ID: 7517120595
Enrollment ID: O20120601000050

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn J Jimmerson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn J Jimmerson,
102 Riverview Dr Ste A,
Flowood, MS 39232-8908

Ph: (601) 981-1610
Carolyn J Jimmerson,
102 Riverview Dr Ste A,
Flowood, MS 39232-8908

Ph: (601) 981-1610

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Nurse Practitioner Nurses in Flowood, MS

Catherine Elizabeth Clingan, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232
Phone: 601-939-1808    Fax: 601-939-1808
Jordan Claire Smith, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232
Phone: 601-420-0034    
Dr. Tatum Lee Severino I, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232
Phone: 601-665-4162    Fax: 888-398-1151
Brittany Michelle Fitzgerald, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 Burney Dr, Flowood, MS 39232
Phone: 601-987-2000    
Courtney Dannielle Murtagh, WHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2925 Layfair Dr, Flowood, MS 39232
Phone: 601-984-6740    
Salina M Loggins, NP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 215 Katherine Dr, Flowood, MS 39232
Phone: 601-665-4162    Fax: 888-398-1151
Ms. Joyce Chappell Vaughn, APMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232
Phone: 601-420-5810    Fax: 601-420-5811

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